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General NPI Number Information
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NPI Number | 1316366289
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Entity Type | Individual
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Provider Name | MOLLY PADGETT WILLIAMS P.A.
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Gender | Female
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 3929 PEACHTREE RD NE STE 250
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City | BROOKHAVEN
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State | GA
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Zip | 30319-3374
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Country | US
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Telephone | 404-352-1053
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Fax | 404-350-0840
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Provider Business Mailing Address
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Address Line | 900 CIRCLE 75 PKWY SE STE 1700
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City | ATLANTA
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State | GA
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Zip | 30339-3087
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Country | US
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Telephone | 770-953-6929
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Fax | 770-953-6972
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.962
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 10575
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License Number State | GA
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